Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at WHITE MEMORIAL MEDICAL CENTER
1720 E Cesar E Chavez Ave Los Angeles CA 90033|309 W Beverly Blvd, MONTEBELLO, CA · Adventisthealth · · NPI 1215927470
$62.37
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$346.50
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$0.05 with BC MEDI-CAL vs $255.64 with CARE FIRST MEDI-CAL — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BC MEDI-CAL | BC MEDI-CAL | $0.05 | ↓ -100% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $0.29 | ↓ -100% |
| BLUE CROSS NON MCS | BLUE CROSS NON MCS | $0.32 | ↓ -99% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.33 | ↓ -99% |
| UHC JLL | UHC JLL | $0.33 | ↓ -99% |
| UHC HMO | UHC HMO | $0.33 | ↓ -99% |
| BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $0.39 | ↓ -99% |
| BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $16.80 | ↓ -73% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $17.38 | ↓ -72% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $20.23 | ↓ -68% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $21.91 | ↓ -65% |
| PACIFIC IPA - ALL OTHER PLANS | PACIFIC IPA - ALL OTHER PLANS | $27.76 | ↓ -55% |
| KAISER- ALL PLANS | KAISER- ALL PLANS | $29.95 | ↓ -52% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $30.90 | ↓ -50% |
| CIGNA | CIGNA | $30.90 | ↓ -50% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $33.03 | ↓ -47% |
| HEALTHNET COMM CARE | HEALTHNET COMM CARE | $34.07 | ↓ -45% |
| OPTUM HMO - ALL OTHER PLANS | OPTUM HMO - ALL OTHER PLANS | $35.06 | ↓ -44% |
| OPTUM MCR ADV | OPTUM MCR ADV | $35.06 | ↓ -44% |
| UHC SIGNATURE | UHC SIGNATURE | $36.52 | ↓ -41% |
| CAREMORE MCARE - ALL PLANS | CAREMORE MCARE - ALL PLANS | $36.52 | ↓ -41% |
| HCPAMG - ALL PLANS | HCPAMG - ALL PLANS | $36.59 | ↓ -41% |
| HEALTHCARE INC - ALL OTHER PLANS | HEALTHCARE INC - ALL OTHER PLANS | $40.17 | ↓ -36% |
| LA CARE MCR ADV - ALL PLANS | LA CARE MCR ADV - ALL PLANS | $40.17 | ↓ -36% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $40.90 | ↓ -34% |
| FIRST HEATLH PPO - ALL PLANS | FIRST HEATLH PPO - ALL PLANS | $42.36 | ↓ -32% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $47.48 | ↓ -24% |
| SCAN HEALTH MCARE - ALL PLANS | SCAN HEALTH MCARE - ALL PLANS | $47.48 | ↓ -24% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $54.78 | ↓ -12% |
| AHF - ALL PLANS | AHF - ALL PLANS | $54.78 | ↓ -12% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $54.78 | ↓ -12% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $58.43 | ↓ -6% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $60.62 | ↓ -3% |
| TRPN - ALL PLANS | TRPN - ALL PLANS | $62.08 | ↓ -0% |
| NEXT INC PPO - ALL PLANS | NEXT INC PPO - ALL PLANS | $62.08 | ↓ -0% |
| HEALTHMANNET - ALL PLANS | HEALTHMANNET - ALL PLANS | $62.08 | ↓ -0% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $65.74 | ↑ +5% |
| BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA | BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA | $65.74 | ↑ +5% |
| PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $73.04 | ↑ +17% |
| MEDI-CAL | MEDI-CAL | $73.04 | ↑ +17% |
| HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $73.04 | ↑ +17% |
| ACCESS MEDI-CAL | ACCESS MEDI-CAL | $73.04 | ↑ +17% |
| BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $73.04 | ↑ +17% |
| AHP MEDI-CAL | AHP MEDI-CAL | $73.04 | ↑ +17% |
| AVANTI MCAL | AVANTI MCAL | $73.04 | ↑ +17% |
| LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $73.04 | ↑ +17% |
| MOLINA MEDI-CAL | MOLINA MEDI-CAL | $73.04 | ↑ +17% |
| ALTA LOS ANGELES MCAL 1/1/19 | ALTA LOS ANGELES MCAL 1/1/19 | $73.04 | ↑ +17% |
| PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $73.04 | ↑ +17% |
| PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $73.04 | ↑ +17% |
| PREFERRED IPA LA CARE MCAL CAP | PREFERRED IPA LA CARE MCAL CAP | $73.04 | ↑ +17% |
| ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $84.00 | ↑ +35% |
| HEALTHNET MCAL | HEALTHNET MCAL | $86.99 | ↑ +39% |
| FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $87.65 | ↑ +41% |
| PREFERRED HEALTHY | PREFERRED HEALTHY | $91.30 | ↑ +46% |
| ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $102.26 | ↑ +64% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $111.75 | ↑ +79% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $170.11 | ↑ +173% |
| CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $255.64 | ↑ +310% |
Visitor-reported prices
Comments
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $55.19 | $0.06 – $52.26 |
| Redwood City Medical Center | Redwood City | $82.77 | $0.03 – $0.03 |
| Santa Clara Medical Center | SANTA CLARA | $82.77 | $0.03 – $0.03 |
| Baldwin Park Medical Center | BALDWIN PARK | $76.86 | $0.03 – $0.03 |
| Riverside Medical Center | RIVERSIDE | $76.86 | $0.03 – $0.03 |
| Sacramento Medical Center | SACRAMENTO | $82.77 | $0.03 – $0.03 |
| Oakland Medical Center | Oakland | $82.77 | $0.03 – $0.03 |
| Walnut Creek Medical Center | WALNUT CREEK | $82.77 | $0.03 – $0.03 |